Key result
Pre-operative embolization and sclerotherapy followed by complete surgical excision of a rare triceps intramuscular cavernous hemangioma led to excellent functional outcomes and no recurrence at 11 months.
Why the study?
Intramuscular cavernous hemangiomas rarely occur in the upper extremity, with only a handful of cases reported in the triceps muscle.
Case Report (n=1)
No
Early diagnosis and complete surgical excision of rare upper extremity intramuscular cavernous hemangiomas, potentially preceded by embolization and sclerotherapy, can yield excellent functional outcomes without recurrence.
May support multimodal therapy for rare intramuscular hemangiomas; leaves open need for larger series to guide practice.
Intramuscular cavernous hemangiomas are a sub-type of deep soft tissue hemangiomas most commonly presenting in the lower extremities. This report highlights the rare occurrence of these tumours in the upper extremity (triceps muscle) in which only a handful of cases have been reported in literature. The tumour was treated pre-operatively with embolization and sclerotherapy followed by complete excision of the lesion along with the lateral head of triceps. Following complete removal, the patient has been symptom-free for almost one year with no recurrence reported to date. In conclusion, early diagnosis and timely intervention can help prevent complications like neurovascular compromise, minimise recurrence and lead to excellent functional outcomes with minimal morbidity as exemplified in this case.
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Leon Alexander (2019) conducted a case report in Intramuscular cavernous hemangioma of the triceps brachii (n=1). Surgical excision with pre-operative embolization and sclerotherapy was evaluated on Functional outcome and recurrence. Pre-operative embolization and sclerotherapy followed by complete surgical excision of a rare triceps intramuscular cavernous hemangioma led to excellent functional outcomes and no recurrence at 11 months.
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